Evidence map›Paper›PMID 23379592›Full record

ArticleClinical genetics2014

Deletion of MAP2K2/MEK2: a novel mechanism for a RASopathy?

M J M Nowaczyk, B A Thompson, S Zeesman, U Moog, P A Sanchez-Lara, P L Magoulas, R E Falk, J E Hoover-Fong, D A S Batista, S M Amudhavalli and 3 more

Open access · greenAbstract read
In one paragraph

Article in Clinical genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. [Cardiofaciocutaneous syndrome caused by microdeletion of chromosome 19p13.3: a case report and literature review].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. ERK signalling: a master regulator of cell behaviour, life and fate.Nature reviews. Molecular cell biology · 2020
    Review
  7. Article
  8. Review
  9. Disease models & mechanisms · 2018
    Article
  10. Expansion of the RASopathies.Current genetic medicine reports · 2016
    Article
  11. Article
  12. Aortic dilation, genetic testing, and associated diagnoses.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 4 countries.

M J M NowaczykDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada; Department of Pediatrics, McMaster University, Hamilton, Canada.
B A Thompson
S Zeesman
U Moog
P A Sanchez-Lara
P L Magoulas
R E Falk
J E Hoover-Fong
D A S Batista
S M Amudhavalli
S M White
G E Graham
K A Rauen
Johns Hopkins University · USMcMaster University · CAUniversity of California, San Francisco · USBaylor College of Medicine · USChildren's Hospital of Eastern Ontario · CAChildren's Hospital of Los Angeles · USHeidelberg University · DERoyal Children's Hospital · AUUniversity of California, Los Angeles · US

Funding

TGF BETA SIGNALING AND CRANIOFACIAL MORPHOGENESISR37DE012711 · NIDCR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHAI, YANG · 2009 to 2018
$4.3M
The Role of Germline Mutations of the Ras/MAPK Pathway on Skeletal MyogenesisR01AR062165 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAUEN, KATHERINE ANNA · 2012 to 2017
$2.1M
NIAMS NIH HHS R01 AR062165NICHD NIH HHS K12-HD05954NIDCR NIH HHS 3R37DE012711-13S1NIDCR NIH HHS R37 DE012711
6 · The paper itself

Abstract

RASopathies are a class of genetic syndromes caused by germline mutations in genes encoding Ras/mitogen-activated protein kinase (Ras/MAPK) pathway components. Cardio-facio-cutaneous (CFC) syndrome is a RASopathy characterized by distinctive craniofacial features, skin and hair abnormalities, and congenital heart defects caused by activating mutations of BRAF, MEK1, MEK2, and KRAS. We define the phenotype of seven patients with de novo deletions of chromosome 19p13.3 including MEK2; they present with a distinct phenotype but have overlapping features with CFC syndrome. Phenotypic features of all seven patients include tall forehead, thick nasal tip, underdeveloped cheekbones, long midface, sinuous upper vermilion border, tall chin, angular jaw, and facial asymmetry. Patients also have developmental delay, hypotonia, heart abnormalities, failure to thrive, obstructive sleep apnea, gastroesophageal reflux and integument abnormalities. Analysis of epidermal growth factor-stimulated fibroblasts revealed that P-MEK1/2 was ∼50% less abundant in cells carrying the MEK2 deletion compared to the control. Significant differences in total MEK2 and Sprouty1 abundance were also observed. Our cohort of seven individuals with MEK2 deletions has overlapping features associated with RASopathies. This is the first report suggesting that, in addition to activating mutations, MEK2 haploinsufficiency can lead to dysregulation of the MAPK pathway.

Indexed as

PhenotypeAdolescentBlotting, WesternChild, PreschoolChromosomes, Human, Pair 19Cohort StudiesEctodermal DysplasiaFaciesFailure to ThriveHeart Defects, CongenitalHumansInfantMaleMAP Kinase Kinase 2Membrane ProteinsOncogene Protein p21(ras)MAP2K2 protein, humanMAP Kinase Kinase 2Membrane ProteinsOncogene Protein p21(ras)PhosphoproteinsSPRY1 protein, humancardio-facio-cutaneous syndromeCFCdeletion 19p13.3MAP2K2MEK2Ras/MAPK pathwayRASopathy

Identifiers

PMID23379592
PMCPMC4480871
OpenAlexW2121322735

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.